My Treatment Journal

Tracking your treatment journey

AFINITOR (everolimus) tablets is a prescription medicine used to treat advanced hormone receptor-positive, HER2-negative breast cancer, along with the medicine exemestane, in postmenopausal women who have already received certain other medicines for their cancer.

Please see Important Safety Information on pages 15-17. Please see accompanying Summary of Product Characteristics.

Take control of your journey know your treatment

Treatment with AFINITOR plus another medication called exemestane lowered the chance of advanced HR+, HER2 breast cancer tumors growing and spreading by more than half compared to treatment with exemestane alone By taking AFINITOR every day, as directed by your healthcare team, you have the best chance of slowing the progression of your cancer AFINITOR has been used to treat other types of cancer for more than 3 years,* and more than 100,000 patients worldwide have received treatment with AFINITOR across those indications Early and open communication with your healthcare team is important in your treatment journey

AFINITOR plus exemestane

AFINITOR taken together with exemestane is proven effective in giving you more control and more time without your disease getting worse

*AFINITOR is currently approved for the treatment of patients with advanced neuroendocrine tumors (NET) of gastrointestinal, lung, or pancreatic origin and patients with advanced renal cell carcinoma (RCC).

Please see Important Safety Information on pages 15-17. Please see accompanying Summary of Product Characteristics.

My healthcare team
With the help of your healthcare team, fill in the blanks below with important names and phone numbers. Contact Type Name Contact Information

Primary Care Physician

Use this journal to keep track of your healthcare teams contact information, your history of allergies and medications, questions you may have during treatment, and any side effects you may be experiencing.

Specialist

Registered Nurse

Family Member(s)

Please see Important Safety Information on pages 15-17. Please see accompanying Summary of Product Characteristics.

For the best treatmentlet your healthcare team know about your allergies and medications
I have these allergies (include type and date of reaction). I take these medications (prescription and nonprescription medicines, vitamins, and herbal supplements). Medication Dose Date

Allergy

Type of Reaction

Date

Early and open communciation with your healthcare team helps you get the most from your treatment
Report dose and date started, if new.

Please see Important Safety Information on pages 15-17. Please see accompanying Summary of Product Characteristics.

Partner with your teamidentify side effects early for the best results
Like most medications, AFINITOR may cause side effects, some of which may be serious. Each patients experience with AFINITOR will be different. Its important to tell your healthcare team right away if you experience changes in how you feel while taking AFINITOR. Changes in How You Feel Date of Side Effect Duration of Side Effect

You may be concerned that talking with your healthcare team about any side effects you may experience means stopping your treatment with AFINITOR, but that isnt always the outcome. Open communication helps your healthcare team to better help you in properly managing your side effects. AFINITOR Dose Comments/Notes

Please see Important Safety Information on pages 15-17. Please see accompanying Summary of Product Characteristics.

Partner with your teamidentify side effects early for the best results
Like most medications, AFINITOR may cause side effects, some of which may be serious. Each patients experience with AFINITOR will be different. Its important to tell your healthcare team right away if you experience changes in how you feel while taking AFINITOR. Changes in How You Feel Date of Side Effect Duration of Side Effect

You may be concerned that talking with your healthcare team about any side effects you may experience means stopping your treatment with AFINITOR, but that isnt always the outcome. Open communication helps your healthcare team to better help you in properly managing your side effects. AFINITOR Dose Comments/Notes

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Please see Important Safety Information on pages 15-17. Please see accompanying Summary of Product Characteristics.

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Continue the conversation questions for your healthcare team

Open communication with your healthcare team is key to overcoming many of the challenges you may face on your journey. Use these questions to help start a conversation with your healthcare team and learn more about your treatment journey and therapy with AFINITOR.

Why have I been prescribed AFINITOR?

 re there any symptoms or problems I might have during treatment A that I should immediately tell you about?

How long will I need to be on AFINITOR?

Will I need to have any routine tests or scans?

How will I know if the treatment is working?

 hat resources are available to help make AFINITOR treatment W more affordable?

What can I do to help cope with any side effects?

Your healthcare team has a plan to help manage your side effects to help you stay on treatment for as long as possible

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Please see Important Safety Information on pages 15-17. Please see accompanying Summary of Product Characteristics.

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Notes
Use this space to write down any additional thoughts or questions you may have for your healthcare team, and bring this list to your next appointment.

Important Safety Information

Patients should not take AFINITOR if they are allergic to AFINITOR or to any of its ingredients. Patients should tell their healthcare provider before taking AFINITOR if they are allergic to sirolimus (Rapamune) or temsirolimus (Torisel). AFINITOR can cause serious side effects, which can even lead to death. If patients experience these side effects, they may need to stop taking AFINITOR for a while or use a lower dose. Patients should follow their healthcare providers instructions. Serious side effects include: Lung or Breathing Problems: In some patients, lung or breathing problems may be severe and can even lead to death. Patients should tell their healthcare provider right away if they have any of these symptoms: new or worsening cough, shortness of breath, chest pain, difficulty breathing, or wheezing. Infections: AFINITOR may make patients more likely to develop an infection, such as pneumonia, sepsis, or a bacterial, fungal, or viral infection. Viral infections may include reactivation of hepatitis B in people who have had hepatitis B in the past. In some people these infections may be severe and can even lead to death. Patients may need to be treated as soon as possible. Patients should tell their healthcare provider right away if they have a temperature of 100.5F or above, chills, or do not feel well. Symptoms of hepatitis B or infection may include the following: fever, chills, skin rash, joint pain and inflammation, tiredness, loss of appetite, nausea, pale stool or dark urine, yellowing of the skin, or pain in the upper right side of the stomach. Kidney Failure: Patients taking AFINITOR may develop kidney failure. In some people this may be severe and can even lead to death. Patients should have tests to check their kidney function before and during their treatment with AFINITOR.

Taking AFINITOR as directed every day along with early and open communication with your healthcare team are key to getting the most from your AFINITOR treatment

Before taking AFINITOR, tell your healthcare provider about all your medical conditions, including if you: Have or have had kidney problems Have or have had liver problems Have diabetes or high blood sugar Have high blood cholesterol levels

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Please see additional Important Safety Information on pages 15-17. Please see accompanying Summary of Product Characteristics.

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Important Safety Information (cont)

Have any infections Previously had hepatitis B Are scheduled to receive any vaccinations. You should not receive a live vaccine or be around people who have recently received a live vaccine during your treatment with AFINITOR. If you are not sure about the type of vaccine, ask your healthcare provider Have other medical conditions Are pregnant or could become pregnant. AFINITOR can cause harm to your unborn baby. You should use effective birth control while using AFINITOR and for 8 weeks after stopping treatment Are breast-feeding or plan to breast-feed. You and your healthcare provider should decide if you will take AFINITOR or breast-feed. You should not do both Tell your healthcare provider about all of the medicines you take, including prescription and nonprescription medicines, vitamins, and herbal supplements. Using AFINITOR with certain other medicines can cause serious side effects. Keep a list of medicines you take and show it to your healthcare provider when you get a new medicine. Especially tell your healthcare provider if you take St. Johns wort ( Hypericum perforatum), medicines that weaken your immune system (your bodys ability to fight infections and other problems), or medicines for: Fungal infections Bacterial infections Tuberculosis Seizures HIV-AIDS Heart conditions or high blood pressure If you are taking any medicines for the conditions listed above, your healthcare provider might need to prescribe a different medicine or your dose of AFINITOR may need to be changed. Tell your healthcare provider before you start taking any new medicine.

Important Safety Information (cont)

Common Side Effects: AFINITOR can cause mouth ulcers and sores. Other common side effects include: Infections Feeling weak or tired Cough, shortness of breath Diarrhea and constipation Rash, dry skin, and itching Nausea and vomiting Fever Loss of appetite, weight loss Swelling of arms, hands, feet, ankles, face or other parts of the body Abnormal taste Dry mouth  Inflammation of the lining of the digestive system or lung tissure Headache Nosebleeds or spontaneous bleeding or bruising  Pain in arms and legs, mouth and throat, back or joints High blood cholesterol High blood glucose High blood pressure Difficulty sleeping Hair loss Muscle spasms Feeling dizzy Nail disorders

Tell your healthcare provider if you have any side effect that bothers you or does not go away. These are not all the possible side effects of AFINITOR. For more information, ask your healthcare provider or pharmacist. Call your doctor for medical advice about side effects.

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Please see additional Important Safety Information on page 15. Please see accompanying Summary of Product Characteristics.

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Please see Important Safety Information on pages 15-17 Please see accompanying Summary of Product Characteristics.

Novartis Pharma AG CH-4002 Basel SwitzerlandNovartis 2013

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